Our Recurrent Miscarriage Service offers screening to couples
who have had three or more miscarriages. Our aim is to
establish if there are any factors that may have contributed to the
loss of the pregnancies.
What does the screening involve?
Women will undergo:
- Hormonal profiling of the menstrual cycle.
- Screening for pelvic infections, which involves taking triple
swabs from the pelvic canal.
- A pelvic scan to exclude any abnormalities of the pelvic
organs, such as an unusual shaped uterus and to exclude cysts on
ovaries, womb polyps and fibroids.
- Blood tests for sticky blood syndrome (antiphospholipid
syndrome) and any unusual antibodies and proteins in the
- Investigations to exclude lupus and anaemia following a
- Thyroid function tests, to make sure that the thyroid is
functioning well, as this has an impact on fertility.
Before leaving the clinic you will be given a date and time to
attend a follow up appointment. The timescale for this will take
into account the length of time it will usually take for all the
relevant tests to be completed and returned.
If any tests need to be repeated, for example if any initial
tests show an abnormal result, you will be notified of this by
What support do we give?
During our screening clinic we offer at least half an hour extra
to each patient to give emotional support and time for our couples
to ask questions and explore what could have led to a
Some couples will feel emotionally supported but others may need
to be referred to a counsellor for further support.
What will happen at the follow up
At this appointment we will discuss the results of your tests
If all results are normal, we would advise that
- Take 5mg of Folic acid whilst trying for another
- Book early for antenatal care.
- Arrange with the Emergency Gynaecology Unit for a reassurance
scan to be performed at 7 weeks of any future pregnancy.
If the results are abnormal:
Couples with lupus or sticky blood syndrome are referred to
Dr L Byrd, Consultant Obstetrician, who has a
specialist interest in couples who have experienced recurrent
If other gynaecological problems are identified, couples may be
referred to Dr E Edi-Osagie, Consultant Gynaecologist, for further
How can I access this service?
Referrals are made from the Emergency Gynaecology Unit following
a third miscarriage.
We also accept referrals from General Practitioners and other
Gynaecology Out-patient Department, ground floor, Saint Mary's
9.00 am - 12.30 pm
9.00 am - 12.30 pm
Advanced Nurse Practitioner, Gynaecology
Telephone: (0161) 276 6279 (secretary) (Monday to Friday,
9.00 am - 4.30 pm) or bleeper number 4325